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Pediatric Cardiology

, Volume 13, Issue 4, pp 233–236 | Cite as

Necrotizing arteritis in uncorrected tetralogy of fallot with pulmonary atresia

  • Jo-Ann Andriko
  • Max Robinowitz
  • John Moore
  • Renu Virmani
Case Reports

Summary

A 10-year-old girl with uncorrected tetralogy of Fallot with pulmonary atresia presented with fevers of unknown origin and left lung infiltrates. At autopsy, necrotizing vascular changes resembling those of severe pulmonary hypertension (grade VI in the Heath-Edwards classification) were confined to the left lung. Pulmonary blood flow and pressure were greater in the left lung and were provided by an enlarged collateral artery arising directly from the descending thoracic aorta. To our knowledge, this is the first report of necrotizing arteritis of the pulmonary arteries in uncorrected tetralogy of Fallot with pulmonary atresia.

Key Words

Tetralogy of Fallot Pulmonary hypertension Necrotizing arteritis Pulmonary atresia with ventricular septal defect 

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References

  1. 1.
    Haworth S (1980) Collateral arteries in pulmonary atresia with ventricular septal defect: A precarious blood supply.Br Heart J 44: 5–13PubMedGoogle Scholar
  2. 2.
    Haworth S, Macartney FJ (1980) Growth and development of pulmonary circulation in pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries.Br Heart J 44: 14–24PubMedGoogle Scholar
  3. 3.
    Jefferson K, Rees S, Somerville J (1972) Systemic arterial supply to the lungs in pulmonary atresia and its relation to pulmonary artery development.Br Heart J 34: 418–427PubMedGoogle Scholar
  4. 4.
    Johnson RJ, Sauer U, Buhlmeyer K, Haworth SG (1985) Hypoplasia of the intrapulmonary arteries in children with right ventricular outflow tract obstruction, ventricular septal defect and major aortopulmonary collateral arteries.Pediatr Cardiol 6: 137–143PubMedGoogle Scholar
  5. 5.
    Macartney F, Deverall P, Scott O (1973) Hemodynamic characteristics of systemic arterial blood supply to the lungs.Br Heart J 35: 28–37PubMedGoogle Scholar
  6. 6.
    Macartney FJ, Scott O, Deverall PB (1974) Hemodynamic and anatomical characteristics of pulmonary blood supply in pulmonary atresia with ventricular septal defect—including a case of persistent fifth aortic arch.Br Heart J 36: 1049–1060PubMedGoogle Scholar
  7. 7.
    McGoon MD, Fulton RE, Davis GD, et al (1977) Systemic collateral and pulmonary artery stenosis in patients with congenital pulmonary valve atresia and ventricular septal defect.Circulation 56: 473–479PubMedGoogle Scholar
  8. 8.
    Rabinovitch M, Herrera-deLeon V, Castaneda AR, et al (1981) Growth and development of the pulmonary vascular bed in patients with tetralogy of Fallot with or without pulmonary atresia.Circulation 64: 1234–1249PubMedGoogle Scholar
  9. 9.
    Wagenvoort CA, Wagenvoort N (1977)Pathology of pulmonary Hypertension. John Wiley & Sons, New York, pp 56–95, 311–323Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • Jo-Ann Andriko
    • 1
  • Max Robinowitz
    • 3
  • John Moore
    • 2
  • Renu Virmani
    • 3
  1. 1.Department of PathologyWalter Reed Army Medical CenterWashington, D.C.USA
  2. 2.Department of CardiologyWalter Reed Army Medical CenterWashington, D.C.USA
  3. 3.Department of Cardiovascular PathologyArmed Forces Institute of PathologyWashington, D.C.USA

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